What are two key issues that differentiate alcohol use from alcohol abuse?

The differentiation between alcohol use and alcohol abuse is fundamentally linked to the concepts of tolerance and loss of control. When discussing alcohol use, it refers to consumption that does not significantly interfere with functioning or well-being. In contrast, alcohol abuse is marked by a pattern of drinking that leads to negative consequences in various areas of life.

Tolerance describes a situation where an individual needs to consume larger quantities of alcohol to achieve the same effects previously experienced with smaller amounts. This change implies that the individual's relationship with alcohol has evolved to a point where their body is adapting to its presence, which is a hallmark of abuse.

Loss of control relates to an inability to limit alcohol intake or manage drinking behavior effectively. Individuals who abuse alcohol frequently engage in excessive drinking despite knowing it leads to harmful outcomes, indicating a diminished capacity to regulate their consumption.

Understanding these two issues is crucial as they highlight the transition from casual or moderate drinking to more problematic drinking patterns that may require intervention or treatment.